Provider Demographics
NPI:1013138411
Name:HEALING THE FAMILY CENTER INC.
Entity Type:Organization
Organization Name:HEALING THE FAMILY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:VAUGHN
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:BS PSYCH-SOC
Authorized Official - Phone:417-624-8333
Mailing Address - Street 1:2914 E 32ND ST
Mailing Address - Street 2:STE 308
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-4402
Mailing Address - Country:US
Mailing Address - Phone:417-624-8333
Mailing Address - Fax:417-624-8333
Practice Address - Street 1:2914 E 32ND ST
Practice Address - Street 2:STE 308
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-4402
Practice Address - Country:US
Practice Address - Phone:417-624-8333
Practice Address - Fax:417-624-0349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty